Abstract
This study explored the insights of old age pre-retirement employees towards physical activity and sedentary behavior. A quota sampling of 20 participants from within the Civil Service in Malta were invited to an interview. Participants who were included met the statutory requirement for retirement within the subsequent 6 months to 1 year. Semi-structured interviews were conducted using a narrative approach. Structural narrative analysis and reflective thematic analysis were used. The story structure highlighted the significance of the individual experiences on the perceptions towards future physical activity during retirement. Two themes were identified using the thematic analysis, influencers, and perceptions. Triangulation identified that sedentary behavior was not part of the narration. The transition from work to retirement is a unique and personal experience and therefore when promoting an active lifestyle, the individual experience and past behaviors must be actively considered.
Introduction
An aging population presents challenges because of increasing morbidity and functional impairment in a greater prevalence of the population (Teater & Chonody, 2020). Physical activity (PA) is a behavior which prevents or delays functional decline and improves quality of life (Physical Activity Guidelines Advisory Committee, 2018). Sustaining PA in older age (65 years and older), even at low intensity can decrease the risks associated with premature mortality (Hupin et al., 2015). The older age group is heterogenous in terms of the physical function of individuals as well as barriers and motivators for meeting PA recommendations for health (Morgan et al., 2019). Older adults attitudes and beliefs about PA is influenced by their culture and past experiences (Katigbak et al., 2020). Life events, such as retirement transition, have an impact on PA behavior, through an interaction between the event per se and other mediators such as past PA experience (Condello et al., 2017).
The retirement transition presents an opportunity whereby people can influence their PA behavior (Barnett et al., 2012; Spiteri et al., 2019). Retirement can act as a trigger and cause an increased awareness of the aging body. This could influence PA behavior positively or negatively (Morgan et al., 2019). For example, ageistic connotations can lead to less health promoting behavior, whilst positive attitudes towards older age can motivate to increase participation in PA (Menkin et al., 2020). The changes in PA behavior which occur when people retire indicates that there is an increase in leisure-time PA but a decrease in overall PA (Gropper et al., 2020). However, the findings are not consistent across social class and gender. Retirement is likely to result in an increase in sedentary behavior (SB) (Jones et al., 2018), especially in those who are already undertaking excessive sedentary behavior (Ter Hoeve et al., 2020). Interventions around retirement time which aimed to increase PA behavior have been inconclusive as to whether they are effective in increasing PA behavior within retiring populations (Baxter et al., 2016). One possible reason for this is that few studies have examined people’s perceptions of PA around their retirement years (Barnett et al., 2012; Gropper et al., 2020). One study explored whether retirement influences the perceptions of PA (McDonald et al., 2015). In Italy a longitudinal study examined the experience of PA across retirement in a three year-long study (Socci et al., 2021). Using a phenomenological approach, another study looked into the meaning attached to SB during the retirement transition (Eklund et al., 2021). As older adults are a heterogenous group, these studies identified the need to further research the meaning people attach to PA and SB when going through the retirement transition. Exploring pre-retirement perceptions may be useful to assist in developing effective interventions to promote a positive behavior change when people retire. Understanding the individual and the subjective experience of how the retirement process may influence their own PA and SB behaviors is required to gain an understanding of the multiple cognitive processes people are experiencing as they are preparing for retirement.
The aim of this study was to explore pre-retirement perceptions of PA and SB within the context of civil servants in Malta. Using a narrative approach to the study, of how people perceive PA and SB before retiring is well suited (Smith & Sparkes, 2009; Squire et al., 2008). The study was conducted as part of a longitudinal mixed method research using survey and interviews. People bring their own stories to life transitions (Hendricks, 2012), adopting a narrative approach allowed the researchers to consider these in relation to the retirement transition. The research questions for this study were a) What are the predictors of sedentary and PA behavior in people in the retirement transition? b) What are the differences in pre-retirement perceptions in people who are active or not active.
Methods
A social constructionist philosophical approach was used to frame the study (Cigdem et al., 2013). A narrative methodology was identified as suitable
Interview Framework
Semi-structured interviews were used to collect data. Interview questions were guided by the theoretical domain framework (TDF) (Atkins et al., 2017; McGowan et al., 2020). The TDF provides an integrative summary of possible behavioral determinants based on various behavior change theories. It allowed the researcher to develop questions based on factors which could influence behavior, and not limit questioning to the researcher’s pre-conceptual ideas. All questions within the interview were open ended; the initial question allowed the participant to direct the interview according to what was important to them (supplementary file 1). During the interviews participants were guided to use their life stories. The initial question asked about the participant’s daily routine. Based on their reply further questioning took place. The interview questions were developed by KS and discussed between the researchers as they had different expertise. These were then piloted with two retiring individuals to assess their appropriateness. Due to the dual spoken languages of Maltese and English minor modifications in wording were necessary to make prompts clearer, and maintain semantic equivalence between English and Maltese (Behling & Law, 2011).
Recruitment
The participants were selected from respondents to the associated survey. These were recruited via an open call email sent by a third party to all Civil Service employees in Malta (
Ethics
The participants provided their written consent to respond to the online questionnaire and once again prior to the interview
Data Collection
The interviews were undertaken by one researcher (KS) to ensure consistency, over a 5-month period between September 2019 and January 2020. Interviews were conducted in either the English or Maltese language depending on the preference of the participant. Throughout the interview, notes were recorded to reflect upon later, when determining the outcomes during the data analysis and interpretation. These notes were included into a comprehensive reflective diary, which included the researcher’s thoughts before and after each interview.
Data Analysis
The choice of analysis in narrative methods allows for flexibility (Riessman, 2008). Due to the complex nature of social phenomena, this flexibility leads to a deeper understanding (Phoenix et al., 2010). Structural narrative analysis (Bailey et al., 2013; Riessman, 2008; Smith & Sparkes, 2009) and reflexive thematic analysis using an inductive-deductive analysis (Braun & Clarke, 2006) were used jointly to analyze the data. It was decided to analyze the interview in the original language not to change meaning during the translation process (Cigdem et al., 2013). The first step within the structural narrative analysis was to produce a narrative for each participant (Riessman, 2008; Smith & Sparkes, 2009). Each of these was considered as a standalone narrative, and an individual profile was compiled (supplementary file 2). Utalising a social constructionist interpretation of their story (Cigdem et al., 2013), with every pass through the data the story structure for each participant was developed. Discussion between KS and JXDC was done on the story structure. When examining the different stories, this led to the identification of a story structural pattern when participants were discussing their PA and sedentary behavior patterns.
The first step of reflexive thematic analysis (Braun & Clarke, 2006), was carried out during the narrative structural analysis. Developing the individual’s story allowed for familiarization with the data. Once the narrative structural analysis was concluded, initial codes were identified and documented. The codes were then integrated into categories and another pass through the data was undertaken to ensure that the codes fitted the categories. These were then discussed between KS and JXDC, to develop overarching themes. A final pass through the data was done to check that the data fitted the identified themes. An audit trail was kept of the analysis process. Figure 1 depicts the data analysis process undertaken. To obtain data analysis triangulation, the results from both analyses were compared, and checked for congruency and differences (Leech & Onwuegbuzie, 2007). This was done by contrasting the themes identified using the thematic analysis and story structure. Data analysis was facilitated using the software program NVivo11. Data analysis process based on the work of Bailey et al., (2013) and Braun and Clarke (2006).
Rigor
Analysis triangulation is one of the methods used to improve trustworthiness of interpretation (Lauri, 2011). As PA is a complex behavior (Troiano et al., 2012) using multiple analyses on the same data can highlight different aspects of the phenomenon being studied (Phoenix et al., 2010). The use of an audit trail and reflective journal were used to improve confirmability of study results.
Findings
Quotations in the participants original language are available in supplementary file 3.
The response rate to the survey was 11% (
All interviews were transcribed verbatim by the researcher and incorporated tonality details and when possible, reactions from the interview notes. This was completed to assist with the interpretation of the participants’ stories (Riessman, 2008). Prior to starting the data analysis, five interview transcripts were checked by an independent reviewer to ensure fidelity to the interviews. The transcripts were found to match the interview. 20 interviews were conducted in total, 19 in Maltese and one in English. The interviews were analyzed in the language that they were conducted to maintain semantics (Cigdem et al., 2013). Excerpts were translated into English for reporting purposes, following a discussion between KS and JXDC to ensure that the substance or general meaning was maintained. As both authors were bilingual speakers, in Maltese and English.
Structural Narrative Analysis
The structural narrative analysis approach identified patterns of how the participants regarded their future behavior patterns Story structure.
Story Structure with Examples.
Reflective Thematic Analysis
By the end of the thematic analysis the number of nodes identified was 337. These were integrated into six main themes
Themes related to Influence: 1) Learned experiences 2) Psychosocial factors shaping the retirement transition 3) The discernment aspect of retirement
Themes related to Perception: 4) Engagement in PA 5) The inevitable process of aging 6) Cognizant SB.
Reflective Thematic Analysis Findings.
Analysis Triangulation
Data analysis triangulation aimed to compare the findings obtained from two different techniques to see how much they match. If they are, it can be argued that the interpretation of the findings is more likely to be correct (Lauri, 2011). Albeit the complexity of the aging processes, using different analysis techniques can explore different aspect of the data (Phoenix et al., 2010). In this case, reflective thematic analysis and structural narrative analysis were used. The former technique attempts to identify themes from the data, while the latter attempts to identify the way the story is being told by the participants. The themes identified do fit within the story structure. Past experiences were varied and possibly influenced self-efficacy and perceptions. The current state of activity and retirement perceptions reflected the person’s life story. Projected PA and SB behavior after retirement can take place through a process of discernment, whereby psychosocial factors, aging, and experiences are taken into consideration and reflected upon to project what is next. Sedentary behavior activities did not fit within the story structure identified. Whilst PA was developed over time, SB was part of life routine. The way the two analyses merge highlights the complexity of PA behavior and the retirement transition process. The themes identified fit within different stages of the narrative structure.
Discussion
This study is one of a few which explores the pre-retirement perception of how PA and SB might change after retirement, and in the context of Maltese civil servants is completely novel to the authors knowledge. In using two types of analysis to increase the trustworthiness of the findings, past experiences and the discernment process of retirement were identified which would likely have an influence on physical activity behavior adopted once a person retires. The pre-retirement process identified in this population fits with the transitional life course concepts (Hendricks, 2012). When analyzing the story structures, experience seemed to be one of the most influential concepts that the participants reflected upon to explain and project their life after retirement. In a recent study those who were active in the past considered PA as an aspect to maintain in retirement, whilst those who were not interested in PA were found to decrease their PA behavior (Socci et al., 2021).
It has been reported that people use their previous experiences to make sense of their current situation (Grenier, 2012). The discernment aspect is the subjective experience of people making sense of their new life realities, which they are facing. Depending on the person’s experience of their PA and SB through their life, the individual predicts their future behavior. This pattern was already identified with inauspicious pre-retirement behaviors likely to continue with the same behaviors (Ter Hoeve et al., 2020). Within this current study, participants appeared to have knowledge about the beneficial effects of PA, yet this change in behavior, from being inactive to increasing one’s activity levels, even though it might be desirable, was regarded as not easy to undertake. Participants found options such as watching television easier to engage in. Participants within the study identified SB similarly to those in the Sweden (Eklund et al., 2021). SB was identified as unhealthy compared to PA and led to poor health. There was a process of trying to be active and avoid SB. Unlike in the previous study participants did not associated SB with aging or retirement, possibly because participants were not yet retired. Discussing these concerns with health professionals might assist people to overcome them (Kava et al., 2020).
Reflecting on previous experience of PA may serve to build self-efficacy, which encourages the belief to be active. Believing in one’s ability is a motivating factor for people to engage in PA (Spiteri et al., 2019). The social cognitive theory may be used to explain some of the patterns identified within this study (Schunk & DiBenedetto, 2020). Those who had personal processes that motivated them to be active viewed retirement as an opportunity to increase their physical activity behavior. When narrating their stories, they were quick to highlight their achievements when being active. This is part of the behavior process which includes achievement, effort, and persistence. It was acknowledged that it was not always easy to remain active, even though they strived to continue. Environmental issues were important factors for setting goals such as weight control or to remain active in older age.
By employing thematic analysis and narrative structural analysis allowed to identify patterns within the participants which allows for further exploration on larger populations. However, it has to be acknowledged that the individual experiences towards retirement differ on a very subjective level (Grenier, 2012). With the same time left towards retirement the transitional process was met at different junctures. The study highlights why interventions to improve PA around this life period are important and the need to be individualized.
During the retirement transition, people consider ways to adjust to their new life, and any interventions during this time might be opportune to promote a more active lifestyle (Barnett et al., 2012; Baxter et al., 2016). Using narrative interviewing, the study was able to identify the different resources that people make use of when planning for their retirement transition; applying a resource perspective to the retirement transition explains why people might be at different stages in their adjustment and make use of the resources available to them; whether related to family, financial, socio-economical, or organizational factors (Wang et al., 2011; Wang & Shultz, 2009). All these resources might have a direct or indirect impact on retirement and the levels of activity in which people engage afterward. Considering these individualized factors and develop tailor made programs which consider participants needs can be effective in modifying PA behavior (Rowley et al., 2019). The research findings indicate towards the need to support individuals during the retirement transition
Strengths and Limitations
The clear strengths of this study were the large sample size and meticulous processes by which semi-structured interviews were tested and piloted. In addition, the use of two complementary analytical approaches improved interpretation. The use of a narrative approach might have highlighted past experiences as an important aspect within retirement. However, it adds value to the person’s interpretation of how their activity levels are likely to be influenced once they retire.
A diverse participant group from different educational backgrounds and PA behavior were recruited to explore different perspectives. This was able to highlight the diverse stories of participants. Different facets of the retirement transition and PA were identified by using data analysis triangulation. However, the study results cannot be generalized to other populations and is specific to Maltese civil servants. None of the participants lived alone and the retirement transition could be experienced differently by people living alone in later life.
Practical Application
The study highlights the importance of a lifelong perspective into the promotion of PA. Promoting of PA needs to be a positive experience so people can relate to it. When developing health promotion interventions for PA peer support systems need to be considered. The retirement transition can cause anxiety and people might need support with the adjustment. Education about the importance of being active and how to exercise at an older age is required. These applications are context specific due to the nature of the study. However, as identified within the study the retirement transition is an individualized process which highlights the importance of addressing the needs of the individual when promoting PA within this group.
Future Research Recommendations
The study looked at the pre-retirement influences and perceptions towards PA and SB, these might change when people go through retirement and settle into their new life routine. More research is needed into how individuals experience retirement transition. Longitudinal studies are needed to assess this. The perceptions need to be evaluated in comparison with PA and SB measures and how these change over time together with their perceptions.
Conclusion
The study adds to the body of literature on pre-retirement perceptions on PA and SB. It was able to provide an insight of Maltese Civil Servants going through the retirement transition. It highlights the subjective nature of the transition process from work to retirement. The study was able to identify the retirement transition as an adjustment period where possible intervention could take place. Within the study, activity and PA were both linked by the participants, and interventions which focus on promoting activity might also have an indirect effect on PA behavior.
Supplemental Material
sj-pdf-1-jag-10.1177_07334648211062374 – Supplemental Material for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement
Supplemental Material, sj-pdf-1-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure, and John Xerri de Caro in Journal of Applied Gerontology
Supplemental Material
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Supplemental Material, sj-pdf-2-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure and John Xerri de Caro in Journal of Applied Gerontology
Supplemental Material
sj-pdf-3-jag-10.1177_07334648211062374 – Supplemental Material for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement
Supplemental Material, sj-pdf-3-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure and John Xerri de Caro in Journal of Applied Gerontology
Supplemental Material
sj-pdf-4-jag-10.1177_07334648211062374 – Supplemental Material for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement
Supplemental Material, sj-pdf-4-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure and John Xerri de Caro in Journal of Applied Gerontology
Supplemental Material
sj-pdf-5-jag-10.1177_07334648211062374 – Supplemental Material for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement
Supplemental Material, sj-pdf-5-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure and John Xerri de Caro in Journal of Applied Gerontology
Supplemental Material
sj-pdf-6-jag-10.1177_07334648211062374 – Supplemental Material for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement
Supplemental Material, sj-pdf-6-jag-10.1177_07334648211062374 for “It is Easy to do Nothing and Easy to Sit Down”: Perceptions of Physical Activity and Sedentary Behaviors During Pre-retirement by Karl Spiteri, David Broom, Kate Grafton, Bob Laventure and John Xerri de Caro in Journal of Applied Gerontology
Footnotes
Acknowledgments
The authors would like to thank all the study participants who shared their experiences with the researchers, the Institute for Public Service, Malta for supporting research within the public service, and the reviewers for their comments to improve the paper.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was partly funded by the ENDEAVOUR scholarship scheme – Group B- National funds – Malta (MEDE/1117/2017/43).
Ethics Statement
Ethical clearance for the study was obtained from the Faculty of Health and Wellbeing ethics committee at Sheffield Hallam University, UK, committee reference number ER9249191.
Biographical Statement
Karl Spiteri is a final year PhD student at Coventry University, UK. The other authors form part of the supervisor team with Prof David Broom being the main supervisor.
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References
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